| Kathie L. Butler | |
|
111 Longwood Dr Sw Huntsville AL 35801-4522 | |
| (256) 534-8161 | |
| (256) 534-7254 |
| Full Name | Kathie L. Butler |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Longwood Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Kathie L Butler (OWNER) |
| Authorized Official Contact | 2565348161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathie L. Butler Po Box 10108 Huntsville AL 35801-3616 Ph: (256) 534-6091 | Kathie L. Butler 111 Longwood Dr Sw Huntsville AL 35801-4522 Ph: (256) 534-8161 |
| NPI Number | 1003108937 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003108937 | NPI | - | NPPES |
| 0519-1467C | Other | AL | PRIVATE INDEPENDENT PRACTICE |
| 102I805916 | Other | AL | MEDICARE PTAN |
| 1467C | Other | AL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1467C (Alabama) | Primary |
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